Before you begin
In
NextGen® Adaptive Content Engine, document the Intake staff workflow for an office visit for a dermatology encounter, document the Reason for Visit and enter the patient physical exam details.
- On the SOAP template, go to the bottom of the template and select the Procedures icon.
The Udp Procedure Picklist opens.
- Click Biopsy/Destruction/Shave Removal.
You can also access Biopsy/Destruction/Shave - Procedures template from GET.
The Biopsy/Destruction/Shave - Procedures template opens.
- In the Pre-Procedure Care panel, after explaining the details of the procedure to the patient select the relevant options.
Note: To add more information about the consent, select the Consent link.
- In the Procedure Care panel, document the needed information.
- Select No for the Are you performing a procedure on a biopsy proven malignancy? question.
- In the Site Details section, click Procedure, and select Destruction of Benign.
- To add a method, click Method, and select Cantharone or Chemical as appropriate.
- To add the specific condition, select Assessment and from the resulting window select the details.
- To add a status, select Status.
- Fill in the Location and Site Specific details.
- To select the number of items to be frozen, select Quantity.
- To select an Indication, select Indication.
- Select the anesthesia being used from the list and enter the amount used in milliliters.
- To add the procedure to the Today's Procedures grid, select Add.
- To submit the procedure charges, select Submit Procedure Billing.
- In the Follow-up panel, record if complications occurred, select how the patient tolerated the procedure, the suggested time for the follow-up visit, and other details.
- Select OK.
After completing the procedure, you can proceed to the Finalize and Checkout templates. You can finalize using the Finalize template or you can select Procedure Billing from the navigation menu. You can also create Master Document.
